Nurs 387/388 Midterm varcarolis
questions and answers
Communication and the clinical interview chapter question:
you have been working closely with a p/t for the past month. Today, he tells you he is looking
forward to meeting with his new psychiatrist, but he frowns and avoids eye contact while
reporting this to you. which of the following responses would most likely be therapeutic?
A) "a new psychiatrist is a chance to start fresh. I'm sure it will go well for you"
B) "You say you look forward to the meeting, but you appear anxious or unhappy"
C) " I notice that you frowned and avoided eye contact just now - don't you feel well?"
D) " I get the impression you don't really want to see your psychiatrist - can you tell me why? -
ANSb. Making observations such as the fact that the patient states he is looking forward to the
meeting, while also pointing out the discrepancy ("but you appear anxious"), raises the patient's
awareness of the hidden aspects of his or her communication and brings feelings to the surface,
a helpful result for the therapeutic process. The nurse has communicated the observation in an
open question that is nonthreatening, which is also highly therapeutic.
Communication and the clinical interview chapter question:
Which Statement about nonverbal behavior is accurate?
A) a calm expression means that the patient is experiencing low levels of anxiety
B) patients respond more consistently to therapeutic touch than to verbal interventions
C) the meaning of nonverbal behaviors varies with cultural and individual differences
D) Eye contact is a reliable measure of the patients degree of attentiveness and engagement -
ANSc. Cultural and individual differences often dictate the meanings of nonverbal messages, so
therapeutic communication requires that these messages and cues be carefully checked and
understood.
Communication and the clinical interview chapter question:
A nurse stops in to interview a patient on a medical unit and finds the patient lying supine in her
bed with the head elevated at ten degrees. Which initial response would most enhance the
chances of achieving a therapeutic interaction?
A) apologize for the differential in height and proceed while standing to avoid delay
B)If permitted, raise the head of the bed and, with the patients permission, sit on the bed
C) if permitted, raise the head of the bed to approx. the nurse's height while standing
D) Sit in whatever chair is available in the room to convey information and increase comfort -
ANSc.Seeking permission for interventions (such as raising the elevation of the head of the bed)
promotes therapeutic communication, and creating an even level for the nurse and patient to
, interact promotes more open communication and supports the sense of a shared power within
the interaction.
Communication and the clinical interview chapter question:
Which behavior is consistent with therapeutic communication?
A) offering your opinion when asked in order to convey support
B) summarizing the essence of the p/ts comments in your own words
C) interrupting periods of silence before they become awkward for the patient
D) telling the patient that they did well when you approve of their actiosn - ANSb. Summarizing
a patient's comments reflects his or her words back to aid in reflection and also allows any
miscommunication to be clarified promptly, which is consistent with therapeutic communication.
Communication and the clinical interview chapter question:
A patient with schizophrenia approaches staff arriving for day shift and anxiously reports, "Last
night, demons came to my room and tried to rape me." Which response would be most
therapeutic?
A) there are no such things as demons;what you saw were hallucinations."
B) "that must have been very frightening, but we'll check on you at night, and you'll be safe"
C) "It is not possible for anyone to enter your room at night; you are safe here"
D) "You seem very upset; please tell me more about what you experienced last night" - ANSd.
Providing an observation ("You seem very upset") allows the patient to confirm or clarify your
observation, and inviting the patient to elaborate encourages expression of feelings,
experiences and contexts, which is a therapeutic communication practice.
Mental Health and Mental Illness Chapter question:
Resilience, the capacity to rebound from stressors via adaptive coping, is associated with
positive mental health. Your friend has just been laid off from his job. Which of the following
responses on your part would most likely contribute to his enhanced resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
d. Helping him to understand that the layoff resulted in a better quality of life - ANSc. Supporting
him in arranging, preparing for, and completing multiple interviews
Mental Health and Mental Illness Chapter question:
Which of the following situations best supports the diathesis-stress model of mental illness
development?
a. The rate of suicide increases during times of national disaster and despair.
b. A woman feels mildly anxious when asked to speak to a large group of people.
c. A man with no prior mental health problems experiences sadness after his divorce.
questions and answers
Communication and the clinical interview chapter question:
you have been working closely with a p/t for the past month. Today, he tells you he is looking
forward to meeting with his new psychiatrist, but he frowns and avoids eye contact while
reporting this to you. which of the following responses would most likely be therapeutic?
A) "a new psychiatrist is a chance to start fresh. I'm sure it will go well for you"
B) "You say you look forward to the meeting, but you appear anxious or unhappy"
C) " I notice that you frowned and avoided eye contact just now - don't you feel well?"
D) " I get the impression you don't really want to see your psychiatrist - can you tell me why? -
ANSb. Making observations such as the fact that the patient states he is looking forward to the
meeting, while also pointing out the discrepancy ("but you appear anxious"), raises the patient's
awareness of the hidden aspects of his or her communication and brings feelings to the surface,
a helpful result for the therapeutic process. The nurse has communicated the observation in an
open question that is nonthreatening, which is also highly therapeutic.
Communication and the clinical interview chapter question:
Which Statement about nonverbal behavior is accurate?
A) a calm expression means that the patient is experiencing low levels of anxiety
B) patients respond more consistently to therapeutic touch than to verbal interventions
C) the meaning of nonverbal behaviors varies with cultural and individual differences
D) Eye contact is a reliable measure of the patients degree of attentiveness and engagement -
ANSc. Cultural and individual differences often dictate the meanings of nonverbal messages, so
therapeutic communication requires that these messages and cues be carefully checked and
understood.
Communication and the clinical interview chapter question:
A nurse stops in to interview a patient on a medical unit and finds the patient lying supine in her
bed with the head elevated at ten degrees. Which initial response would most enhance the
chances of achieving a therapeutic interaction?
A) apologize for the differential in height and proceed while standing to avoid delay
B)If permitted, raise the head of the bed and, with the patients permission, sit on the bed
C) if permitted, raise the head of the bed to approx. the nurse's height while standing
D) Sit in whatever chair is available in the room to convey information and increase comfort -
ANSc.Seeking permission for interventions (such as raising the elevation of the head of the bed)
promotes therapeutic communication, and creating an even level for the nurse and patient to
, interact promotes more open communication and supports the sense of a shared power within
the interaction.
Communication and the clinical interview chapter question:
Which behavior is consistent with therapeutic communication?
A) offering your opinion when asked in order to convey support
B) summarizing the essence of the p/ts comments in your own words
C) interrupting periods of silence before they become awkward for the patient
D) telling the patient that they did well when you approve of their actiosn - ANSb. Summarizing
a patient's comments reflects his or her words back to aid in reflection and also allows any
miscommunication to be clarified promptly, which is consistent with therapeutic communication.
Communication and the clinical interview chapter question:
A patient with schizophrenia approaches staff arriving for day shift and anxiously reports, "Last
night, demons came to my room and tried to rape me." Which response would be most
therapeutic?
A) there are no such things as demons;what you saw were hallucinations."
B) "that must have been very frightening, but we'll check on you at night, and you'll be safe"
C) "It is not possible for anyone to enter your room at night; you are safe here"
D) "You seem very upset; please tell me more about what you experienced last night" - ANSd.
Providing an observation ("You seem very upset") allows the patient to confirm or clarify your
observation, and inviting the patient to elaborate encourages expression of feelings,
experiences and contexts, which is a therapeutic communication practice.
Mental Health and Mental Illness Chapter question:
Resilience, the capacity to rebound from stressors via adaptive coping, is associated with
positive mental health. Your friend has just been laid off from his job. Which of the following
responses on your part would most likely contribute to his enhanced resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
d. Helping him to understand that the layoff resulted in a better quality of life - ANSc. Supporting
him in arranging, preparing for, and completing multiple interviews
Mental Health and Mental Illness Chapter question:
Which of the following situations best supports the diathesis-stress model of mental illness
development?
a. The rate of suicide increases during times of national disaster and despair.
b. A woman feels mildly anxious when asked to speak to a large group of people.
c. A man with no prior mental health problems experiences sadness after his divorce.
